1
Relationship Factors: A Study of Parents of Children with Down Syndrome Kristen Krueger 1 , Paige Alexander 1 , Meghan Dyster 1 , Mollie Reves 1 , Robert Steele 1 , Morgan Wedekind 1 , Briana S. Nelson Goff 1 , Jessica Cless 2 1 Kansas State University, 2 Washburn University MEASURES Relationship Satisfaction Measures: Couples Satisfaction Index-4 (CSI-4; Funk & Rogge, 2007) Distress Cut Score: 13.5 Revised Dyadic Adjustment Scale (RDAS; Busby, Christensen, Crane, & Larson, 1995) Distress Cut Score = 48 Herth Hope Index (HHI; Herth, 1992) Satisfaction with Life Scale (SWLS; Diener, Emmons, Larsen, & Griffin, 1985) Family Crisis Oriented Personal Evaluation Scales (F-COPES; McCubbin, Olson, & Larsen, 1991) Open-ended qualitative questions DISCUSSION & IMPLICATIONS The current study contributes to existing literature by describing potential similarities and differences between high and low relationship satisfaction groups of parents of children with DS: High relationship satisfaction group reported more general life satisfaction, coping, and hope than the low satisfaction group High relationship satisfaction group reported that their reactions at the time of the diagnosis were similar to their partner, with more parents in the low relationship satisfaction group reporting dissimilar reactions between partners Parents in both groups reported engaging in education and gaining information at the time of the diagnosis, with more parents in the high relationship satisfaction group indicating they gained this education together. The results of the current study indicate that parents in relationships with higher relationship satisfaction may share their initial experiences together more than participants who reported lower relationship satisfaction. These initial experiences may contribute to later couple functioning in parents of children with DS. For helping professionals across disciplines working with families with a child with special needs, utilizing these results can help to better accommodate parents of children with an IDD diagnosis, like DS. Insight can be gained from examining parents’ relationship satisfaction levels and their reactions to the diagnosis in order to aid professionals in understanding the most important experiences and needs of these families. Limitations of the study involve the demographics of the sample being predominately Caucasian, upper middle class women. Future research into this area should include a more diverse sample of parents of children with Down syndrome and other intellectual and developmental disabilities. Contact information: [email protected] REFERENCES Busby, D. M., Christensen, C., Crane, D. R., & Larson, J. H. (1995). A revision of the dyadic adjustment scale for use with distressed and nondistressed couples: Construct hierarchy and multidimensional scales. Journal of Marital and Family Therapy, 21(3), 289-308. Corbin, J., & Strauss, A. (2015). Basics of qualitative research: Techniques and procedures for developing grounded theory (4 th ed.). Thousand Oaks, CA: SAGE. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71-75. Funk, J. L., & Rogge, R. D. (2007). Testing the ruler with item response theory: Increasing precision of measurement for relationship satisfaction with the couples satisfaction index. Journal of Family Psychology, 21(4), 572-583. Hastings, R. P., & Taunt, H. M. (2002). Positive perceptions in families of children with developmental disabilities. American Journal on Mental Retardation, 107(2), 116-127. Herth, K. (1992). Abbreviated instrument to measure hope: Development and psychometric evaluation. Journal of Advanced Nursing, 17, 1251- 1259. doi: 10.1111/j.1365-2648.1992.tb01843.x Kersh, J., Hedvat, T. T., Hauser‐Cram, P., & Warfield, M. E. (2006). The contribution of marital Quality to the well -being of parents of children with developmental disabilities. Journal of Intellectual Disability Research, 50(12), 883-993. McCubbin, H. I., Olson, D. H., & Larsen, A. S. (1991). F-COPES: Family crisis oriented personal evaluation scales. In H. I. McCubbin & A. I. Thompson (Eds.), Family assessment inventories for research and practice (p. 259-270). Madison, WI: University of Wisconsin. McGlone, K., Santos, L., Kazama, L., Fong, R., & Mueller, C. (2002). Psychological stress in adoptive parents of special-needs children. Child Welfare, 81(2), 151-171. Nelson Goff, B. S., Springer, N., Foote, L. C., Frantz, C., Peak, M., Tracy, C., ... Cross, K. A. (2013). Receiving the initial Down syndrome diagnosis: A comparison of prenatal and postnatal parent group experiences. Intellectual and Developmental Disabilities, 51(6), 446-457. Roach, M. A., Orsmond, G. I., & Barratt, M. S. (1999). Mothers and fathers of children with Down syndrome: Parental stress and involvement in childcare. American Journal on Mental Retardation, 104(5), 422-436. Stoneman, Z., & Gavidia-Payne, S. (2006). Marital adjustment in families of young children with disabilities: Associations with daily hassles and problem-focused coping. American Journal on Mental Retardation, 111(1), 1-14. ABSTRACT The current study contributes to the understanding of parental relationship satisfaction amongst parents of children with Down syndrome (DS), through both quantitative and qualitative data analysis using data from a large national sample. Results indicate differences between high relationship satisfaction and low relationship satisfaction groups on measures of hope, life satisfaction, and coping scores. Qualitative results also indicated group differences. INTRODUCTION & PRESENT STUDY Parents of children with an IDD diagnosis, such as Down syndrome (DS), may experience differences in their stress and coping (Roach, Orsmond, & Barratt, 1999; Woodman, 2014). Families with special needs often state they are content and see their lives as a mix of challenging and satisfying experiences (Nelson Goff et al., 2013; Hastings & Taunt, 2002). It is important for parents of children with an IDD diagnosis to understand the changes in coping, satisfaction, and relationship functioning that may occur due to the variations in well-being for parents of children overtime. This study sought to provide an understanding of the effects on relationship functioning reported by parents of children diagnosed with DS based on differences in relationship satisfaction levels. DEMOGRAPHICS & QUANTITATIVE RESULTS Participants in the current study were predominately female (87%), European American/White (91%), from a higher SES level (38% reported >$100,000 annual income), currently married (91%), with an average relationship length of 14.62 years (SD = 9.19; Range= <1 - 51) Average age of participants = 41.98 (SD = 9.28; Range = 16 - 70) Average age of child with DS= 7.95 (SD = 8.55, Range = <1 50) There were no significant demographic differences between the HIGH and LOW relationship satisfaction groups. Controlling for participant age, age of child with DS, and relationship length, MANCOVA results revealed significant differences between groups (F(3, 286) = 38.28, p < .000, partial η 2 = .69) on measures of hope (HHI), F(4, 288) = 10.42, p < .000), life satisfaction (SWLS), F(4, 288) = 30.01, p < .000), and coping (F-COPES), F(4, 288) = 3.66, p < .01). SAMPLE AND PROCEDURE In the current study, 459 participants (of the original 651 total sample) responded to an open- ended question that asked participants to describe their response to their child’s Down syndrome diagnosis, as well as similarities and differences between partners both in their reactions and experiences at the time of diagnosis and currently in how they approach their child. Participants were divided into two groups based on HIGH (n = 287) and LOW (n = 172) relationship satisfaction scores.

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Page 1: Relationship Factors: A Study of Parents of Children with ... › sites › default › files › 2018-10 › ...Relationship Factors: A Study of Parents of Children with Down Syndrome

Relationship Factors: A Study of Parents of Children with Down SyndromeKristen Krueger1, Paige Alexander1, Meghan Dyster1, Mollie Reves1, Robert Steele1, Morgan Wedekind1, Briana S. Nelson Goff1, Jessica Cless2

1Kansas State University, 2Washburn University

MEASURES• Relationship Satisfaction Measures:

• Couples Satisfaction Index-4 (CSI-4; Funk & Rogge, 2007) Distress CutScore: 13.5

• Revised Dyadic Adjustment Scale (RDAS; Busby, Christensen, Crane, &Larson, 1995) Distress Cut Score = 48

• Herth Hope Index (HHI; Herth, 1992)• Satisfaction with Life Scale (SWLS; Diener, Emmons, Larsen, & Griffin,

1985)• Family Crisis Oriented Personal Evaluation Scales (F-COPES; McCubbin,

Olson, & Larsen, 1991)• Open-ended qualitative questions

DISCUSSION & IMPLICATIONS

• The current study contributes to existing literature by describing

potential similarities and differences between high and low

relationship satisfaction groups of parents of children with DS:

• High relationship satisfaction group reported more general

life satisfaction, coping, and hope than the low satisfaction

group

• High relationship satisfaction group reported that their

reactions at the time of the diagnosis were similar to their

partner, with more parents in the low relationship satisfaction

group reporting dissimilar reactions between partners

• Parents in both groups reported engaging in education and

gaining information at the time of the diagnosis, with more

parents in the high relationship satisfaction group indicating

they gained this education together.

• The results of the current study indicate that parents in

relationships with higher relationship satisfaction may share

their initial experiences together more than participants who

reported lower relationship satisfaction. These initial

experiences may contribute to later couple functioning in

parents of children with DS.

• For helping professionals across disciplines working with

families with a child with special needs, utilizing these results

can help to better accommodate parents of children with an IDD

diagnosis, like DS. Insight can be gained from examining

parents’ relationship satisfaction levels and their reactions to the

diagnosis in order to aid professionals in understanding the most

important experiences and needs of these families.

• Limitations of the study involve the demographics of the sample

being predominately Caucasian, upper middle class women.

Future research into this area should include a more diverse

sample of parents of children with Down syndrome and other

intellectual and developmental disabilities.

Contact information: [email protected]

REFERENCES• Busby, D. M., Christensen, C., Crane, D. R., & Larson, J. H. (1995). A revision of the dyadic adjustment scale for use with distressed and

nondistressed couples: Construct hierarchy and multidimensional scales. Journal of Marital and Family Therapy, 21(3), 289-308.

• Corbin, J., & Strauss, A. (2015). Basics of qualitative research: Techniques and procedures for developing grounded theory (4th ed.). Thousand

Oaks, CA: SAGE.

• Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71-75.

• Funk, J. L., & Rogge, R. D. (2007). Testing the ruler with item response theory: Increasing precision of measurement for relationship satisfaction

with the couples satisfaction index. Journal of Family Psychology, 21(4), 572-583.

• Hastings, R. P., & Taunt, H. M. (2002). Positive perceptions in families of children with developmental disabilities. American Journal on Mental

Retardation, 107(2), 116-127.

• Herth, K. (1992). Abbreviated instrument to measure hope: Development and psychometric evaluation. Journal of Advanced Nursing, 17, 1251-

1259. doi: 10.1111/j.1365-2648.1992.tb01843.x

• Kersh, J., Hedvat, T. T., Hauser‐Cram, P., & Warfield, M. E. (2006). The contribution of marital Quality to the well-being of parents of children

with developmental disabilities. Journal of Intellectual Disability Research, 50(12), 883-993.

• McCubbin, H. I., Olson, D. H., & Larsen, A. S. (1991). F-COPES: Family crisis oriented personal evaluation scales. In H. I. McCubbin & A. I.

Thompson (Eds.), Family assessment inventories for research and practice (p. 259-270). Madison, WI: University of Wisconsin.

• McGlone, K., Santos, L., Kazama, L., Fong, R., & Mueller, C. (2002). Psychological stress in adoptive parents of special-needs children. Child

Welfare, 81(2), 151-171.

• Nelson Goff, B. S., Springer, N., Foote, L. C., Frantz, C., Peak, M., Tracy, C., ... Cross, K. A. (2013). Receiving the initial Down syndrome

diagnosis: A comparison of prenatal and postnatal parent group experiences. Intellectual and Developmental Disabilities, 51(6), 446-457.

• Roach, M. A., Orsmond, G. I., & Barratt, M. S. (1999). Mothers and fathers of children with Down syndrome: Parental stress and involvement in

childcare. American Journal on Mental Retardation, 104(5), 422-436.

• Stoneman, Z., & Gavidia-Payne, S. (2006). Marital adjustment in families of young children with disabilities: Associations with daily hassles and

problem-focused coping. American Journal on Mental Retardation, 111(1), 1-14.

ABSTRACT

The current study contributes to the

understanding of parental relationship

satisfaction amongst parents of children with

Down syndrome (DS), through both quantitative

and qualitative data analysis using data from a

large national sample. Results indicate

differences between high relationship

satisfaction and low relationship satisfaction

groups on measures of hope, life satisfaction,

and coping scores. Qualitative results also

indicated group differences.

INTRODUCTION & PRESENT STUDY

• Parents of children with an IDD diagnosis,

such as Down syndrome (DS), may

experience differences in their stress and

coping (Roach, Orsmond, & Barratt, 1999;

Woodman, 2014).

• Families with special needs often state they

are content and see their lives as a mix of

challenging and satisfying experiences(Nelson Goff et al., 2013; Hastings & Taunt,

2002).

• It is important for parents of children with an

IDD diagnosis to understand the changes in

coping, satisfaction, and relationship

functioning that may occur due to the

variations in well-being for parents of

children overtime.

• This study sought to provide an

understanding of the effects on relationship

functioning reported by parents of children

diagnosed with DS based on differences in

relationship satisfaction levels.

DEMOGRAPHICS & QUANTITATIVE RESULTS

• Participants in the current study were predominately female (87%),European American/White (91%), from a higher SES level (38%reported >$100,000 annual income), currently married (91%), with anaverage relationship length of 14.62 years (SD = 9.19; Range= <1 - 51)

• Average age of participants = 41.98 (SD = 9.28; Range = 16 - 70)• Average age of child with DS= 7.95 (SD = 8.55, Range = <1 – 50)• There were no significant demographic differences between the HIGH

and LOW relationship satisfaction groups.• Controlling for participant age, age of child with DS, and relationship

length, MANCOVA results revealed significant differences betweengroups (F(3, 286) = 38.28, p < .000, partial η2= .69) on measures ofhope (HHI), F(4, 288) = 10.42, p < .000), life satisfaction (SWLS),F(4, 288) = 30.01, p < .000), and coping (F-COPES), F(4, 288) = 3.66,p < .01).

SAMPLE AND PROCEDURE• In the current study, 459 participants (of the

original 651 total sample) responded to an open-ended question that asked participants to describetheir response to their child’s Down syndromediagnosis, as well as similarities and differencesbetween partners both in their reactions andexperiences at the time of diagnosis and currentlyin how they approach their child.

• Participants were divided into two groups basedon HIGH (n = 287) and LOW (n = 172)relationship satisfaction scores.